Melendez, Liza M
Melendez, Liza M is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd Suite 105, Port Saint Lucie FL 34986-3443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Melendez, Liza M can be contacted via phone (772) 336-2818.Contact Information
Primary practice address
1850 Sw Fountainview Blvd Suite 105
Port Saint Lucie FL 34986-3443
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME126322 | Florida |
Profile Details
| NPI number | 1366624645 |
|---|---|
| LBN Legal business name | Melendez, Liza M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Nov 3rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366624645 | NPPES |
| Florida | MEDICAID | 016658800 |
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